Michael John Lillestol, MD | |
1707 Gold Dr, Ste 101, Fargo, ND 58103-6413 | |
(701) 280-2033 | |
(701) 232-5578 |
Full Name | Michael John Lillestol |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 50 Years |
Location | 1707 Gold Dr, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669427688 | NPI | - | NPPES |
D26082 | Other | ND | ND WORKERS COMP |
14165 | Medicaid | ND | |
162D9LI | Other | ND | MINNESOTA BLUE SHIELD |
21574 | Other | ND | ND BLUE SHIELD |
1008297 | Other | PREFERRED ONE | |
116742 | Other | UCARE | |
04-12025 | Other | MEDICA | |
663288200 | Medicaid | MN | |
ND4830 | Other | CHAMPUS | |
141875400 | Other | FEDERAL WORKERS COMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4830 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Home Care Fargo | Fargo, ND | Home health agency |
Essentia Health | Fargo, ND | Hospital |
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Internal Medicine Associates Inc | 8527027879 | 13 |
Entity Name | Internal Medicine Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144313743 PECOS PAC ID: 8527027879 Enrollment ID: O20041004000768 |
Mailing Address | Practice Location Address |
---|---|
Michael John Lillestol, MD 1707 Gold Dr, Ste 101, Fargo, ND 58103-6413 Ph: (701) 280-2033 | Michael John Lillestol, MD 1707 Gold Dr, Ste 101, Fargo, ND 58103-6413 Ph: (701) 280-2033 |
Abdallah M Mansour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Derek Anderson, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933 | |
Gerald G Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
Dr. Emuejevoke Joseph Okoh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Patrick J Hughes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000 |